PMID- 19380622 OWN - NLM STAT- MEDLINE DCOM- 20090604 LR - 20220310 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 119 IP - 17 DP - 2009 May 5 TI - Conventional dendritic cells at the crossroads between immunity and cholesterol homeostasis in atherosclerosis. PG - 2367-75 LID - 10.1161/CIRCULATIONAHA.108.807537 [doi] AB - BACKGROUND: Immunoinflammatory mechanisms are implicated in the atherogenic process. The polarization of the immune response and the nature of the immune cells involved, however, are major determinants of the net effect, which may be either proatherogenic or antiatherogenic. Dendritic cells (DCs) are central to the regulation of immunity, the polarization of the immune response, and the induction of tolerance to antigens. The potential role of DCs in atherosclerosis, however, remains to be defined. METHODS AND RESULTS: We created a mouse model in which the lifespan and immunogenicity of conventional DCs are enhanced by specific overexpression of the antiapoptotic gene hBcl-2 under the control of the CD11c promoter. When studied in either low-density lipoprotein receptor-deficient or apolipoprotein E-deficient backgrounds, DC-hBcl2 mice exhibited an expanded DC population associated with enhanced T-cell activation, a T-helper 1 and T-helper 17 cytokine expression profile, and elevated production of T-helper 1-driven IgG2c autoantibodies directed against oxidation-specific epitopes. This proatherogenic signature, however, was not associated with acceleration of atherosclerotic plaque progression, because expansion of the DC population was unexpectedly associated with an atheroprotective decrease in plasma cholesterol levels. Conversely, depletion of DCs in hyperlipidemic CD11c-diphtheria toxin receptor/apolipoprotein E-deficient transgenic mice resulted in enhanced cholesterolemia, thereby arguing for a close relationship between the DC population and plasma cholesterol levels. CONCLUSIONS: Considered together, the present data reveal that conventional DCs are central to the atherosclerotic process, because they are directly implicated in both cholesterol homeostasis and the immune response. FAU - Gautier, Emmanuel L AU - Gautier EL AD - INSERM UMR-S U939, Hopital de la Pitie, Paris, France. FAU - Huby, Thierry AU - Huby T FAU - Saint-Charles, Flora AU - Saint-Charles F FAU - Ouzilleau, Betty AU - Ouzilleau B FAU - Pirault, John AU - Pirault J FAU - Deswaerte, Virginie AU - Deswaerte V FAU - Ginhoux, Florent AU - Ginhoux F FAU - Miller, Elizabeth R AU - Miller ER FAU - Witztum, Joseph L AU - Witztum JL FAU - Chapman, M John AU - Chapman MJ FAU - Lesnik, Philippe AU - Lesnik P LA - eng GR - P01 HL088093/HL/NHLBI NIH HHS/United States GR - R01 HL086559/HL/NHLBI NIH HHS/United States GR - HL086559/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090420 PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Autoantibodies) RN - 0 (Cytokines) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Animals MH - Atherosclerosis/*etiology MH - Autoantibodies MH - Cell Proliferation MH - Cholesterol/*blood MH - Cytokines MH - Dendritic Cells/cytology/*immunology MH - Genes, bcl-2/genetics MH - Homeostasis MH - *Immunity MH - Lymphocyte Activation MH - Mice MH - Mice, Transgenic MH - Models, Animal EDAT- 2009/04/22 09:00 MHDA- 2009/06/06 09:00 CRDT- 2009/04/22 09:00 PHST- 2009/04/22 09:00 [entrez] PHST- 2009/04/22 09:00 [pubmed] PHST- 2009/06/06 09:00 [medline] AID - CIRCULATIONAHA.108.807537 [pii] AID - 10.1161/CIRCULATIONAHA.108.807537 [doi] PST - ppublish SO - Circulation. 2009 May 5;119(17):2367-75. doi: 10.1161/CIRCULATIONAHA.108.807537. Epub 2009 Apr 20.